Provider Demographics
NPI:1861527061
Name:ROCKMAN WOMENS WELLNESS
Entity type:Organization
Organization Name:ROCKMAN WOMENS WELLNESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:ROCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:713-464-8540
Mailing Address - Street 1:23920 KATY FWY
Mailing Address - Street 2:SUITE 540
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1341
Mailing Address - Country:US
Mailing Address - Phone:713-464-8540
Mailing Address - Fax:281-392-2044
Practice Address - Street 1:23920 KATY FREEWAY
Practice Address - Street 2:SUITE 540
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5603
Practice Address - Country:US
Practice Address - Phone:713-464-8540
Practice Address - Fax:281-392-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6383174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1785883-01Medicaid
TX0029NEOtherBCBS GROUP NUMBER
TX0029NEOtherBCBS GROUP NUMBER